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Enhancing pediatric asthma management through multifaceted health education

World journal of Clinical Cases 2024年第19期12卷 3708-3716页

作者： Guang-Qun Lin Zu-Qiong Ye En-lian Song Yu-Nan Lin Department of pediatrics First Affiliated Hospital of Guangxi Medical UniversityNanning 530021Guangxi Zhuang Autonomous RegionChina Day Surgery Ward First Affiliated Hospital of Guangxi Medical UniversityNanning 530021Guangxi Zhuang Autonomous RegionChina Anesthesia&Operation Center First Affiliated Hospital of Guangxi Medical UniversityNanning 530021Guangxi Zhuang Autonomous RegionChina

BACKGROUND pediatric asthma is a significant public health issue that impacts the quality of life of children *** management approaches focus on symptom control and medication adherence but often overlook the comprehensive educational needs of patients and their families.A multifaceted health education approach may offer a more holistic strategy in managing pediatric asthma,especially in outpatient *** To evaluate the efficacy of a comprehensive health education strategy in improving disease management,medication adherence,and quality of life among children with asthma in outpatient *** In total,100 pediatric patients with severe asthma were enrolled from january 2021 to November 2022 and randomly allocated to a control group(n=50)or an observation group(n=50).The control group received standard nursing care,including basic nursing interventions and health education upon *** contrast,the observation group was exposed to a broad spectrum of health education methodologies,including internet-based hospital systems,social media channels,one-on-one verbal education,informational brochures,slide present ations,telephone check-ins,animated videos,and illustrated health education *** on asthma management knowledge,symptom control,quality of life[***’s Respiratory Questionnaire(SGRQ)],treatment adherence,and nursing satisfaction were collected and *** The scores of the observation group in knowledge areas,such as medication,home care,disease understanding,symptom management,prevention strategies,and nutritional guidance,were significantly higher than those of the control group(pp exhibited greater symptom control,improved quality of life based on their SGRQ scores,and higher treatment adherence post-intervention(pp across all evaluated areas(pplementing a diversified hea

关键词： Multifaceted health education mode pediatrics Outpatient service Bronchial asthma

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Harnessing the power of complex light propagation in multimode fibers for spatially resolved sensing

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photonics Research 2024年第3期12卷 411-422页

作者： DARCY L.SMITH LINH V.NGUYEN MOHAMMAD I.REjA ERIK p.SCHARTNER HEIKE EBENDORFF-HEIDEpRIEM DAVID j.OTTAWAY STEpHEN C.WARREN-SMITH Institute for photonics and Advanced Sensing and School of physics Chemistry and Earth SciencesThe University of AdelaideAdelaideSA 5005Australia Australian Research Council Centre of Excellence for Gravitational Wave Discovery(OzGrav) AdelaideSAAustralia Future Industries Institute University of South AustraliaMawson LakesSA 5095Australia Laser physics and photonics Devices Laboratory University of South AustraliaMawson LakesSA 5095Australia

The propagation of coherent light in multimode optical fibers results in a speckled output that is both complex and sensitive to environmental *** properties can be a powerful tool for sensing,as small perturbations lead to significant changes in the output of the ***,the mechanism to encode spatially resolved sensing information into the speckle pattern and the ability to extract this information are thus far *** this paper,we demonstrate that spatially dependent mode coupling is crucial to achieving spatially resolved *** leverage machine learning to quantitatively extract the spatially resolved sensing information from three fiber types with dramatically different characteristics and demonstrate that the fiber with the highest degree of spatially dependent mode coupling provides the greatest accuracy.

关键词： fiber spatially resolved

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Single atom Cu-N-C catalysts for the electro-reduction of CO_(2) to CO assessed by rotating ring-disc electrode

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journal of Energy Chemistry 2024年第1期88卷 169-182,I0004页

作者： S.pérez-Rodríguez M.Gutiérrez-Roa C.Giménez-Rubio D.Ríos-Ruiz p.Arévalo-Cid M.V.Martínez-Huerta A.Zitolo M.j.Lázaro D.Sebastián Instituto de Carboquímica(CSIC) Miguel Luesma Castán 450018 ZaragozaSpain Instituto de Catálisis y petroleoquímica(CSIC) Marie Curie 228049 MadridSpain Synchrotron SOLEIL L’Orme des MerisiersDépartementale 12891190France

The electrochemical CO_(2) reduction reaction(CO_(2)RR) to controllable chemicals is considered as a promising pathway to store intermittent renewable energy. Herein, a set of catalysts based on copper-nitrogendoped carbon xerogel(Cu-N-C) are successfully developed varying the copper amount and the nature of the copper precursor, for the efficient CO_(2)RR. The electrocatalytic performance of Cu-N-C materials is assessed by a rotating ring-disc electrode(RRDE), technique still rarely explored for CO_(2)RR. For comparison, products are also characterized by online gas chromatography in a H-cell. The as-synthesized Cu-NC catalysts are found to be active and highly CO selective at low overpotentials(from -0.6 to -0.8 V ***) in 0.1 M KHCO_(3), while H_(2) from the competitive water reduction appears at larger overpotentials(-0.9 V vs. RHE). The optimum copper acetate-derived catalyst containing Cu-N_(4) moieties exhibits a CO_(2)-to-CO turnover frequency of 997 h^(-1) at -0.9 V vs. RHE with a H_(2)/CO ratio of 1.8. These results demonstrate that RRDE configuration can be used as a feasible approach for identifying electrolysis products from CO_(2)RR.

关键词： Cu-N-C Carbon xerogel Rotating ring disc electrode Carbon dioxide reduction reaction Carbon monoxide

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Solid-liquid extraction for yttrium recovery using porous polymeric resin（XAD-7） functionalized with D2EHpA

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journal of Rare Earths 2024年第9期42卷 1764-1773页

作者： p.A.Martínez-Montoya R.G.Sanchez-Alvarado D.Y.Medina-Velazquez M.L.Carrera-jota p.Garnica-Chávez A.de j.Morales-Ramirez Higher School of Chemical Engineering and Extractive Industries ESIQIEIPNDepartment of Metallurgical Engineering Metropolitan Autonomous University Department of MaterialsBasic Sciences and Engineering Center for Research and Technological Innovation CIITECIPN

The recovery of yttrium is proposed by applying a solid-liquid extraction process using di-2-ethyl hexylphosphoric acid（D2EHpA） as extracting *** extracting agents were supported on a macro porous polymeric resin XAD-7（solid phase）.Yttrium ions extraction and discharge tests were performed,firstly from a synthetic aqueous solution of 100 mg/L Y（liquid phase） at 25℃ with *** effects of pH of aqueous solutions bearing yttrium,volume fraction of extracting agents and the solid/liquid（S/L）ratio on the yttrium recovery were *** most favorable conditions for yttrium ions extraction are;20 vol% D2EHpA functionalized resin,pH=1.5 and an S/L ratio of 10 mg/mL The discharge of yttrium ions was done under the same conditions of extraction stage,using a 2 mol/L [H2SO4] as stripping *** to 80% yttrium is extracted,while 75% yttrium is recovered in the striping *** all experiments,the reaction equilibrium is reached after 20 min,and the kinetics for the extraction stage was determined as a second-order ***,experiments were carried out to discharge the yttriumloaded resins,and it has been determined that the best pH value to strip the Y ions is *** tests of extraction and discharge for yttrium ions show that the functionalized resin can work at least five cycles without decreasing its ***,the proposed process was tested in a real solution with Y ions fro m a waste fluorescent la mp powder leached in H2SO4,demonstrating the ability to effectively recover yttrium,separating it from various metals from the studied residue.

关键词： Fluorescent lamps recycling Rare earth solid-liquid extraction Solid-liquid kinetics extraction XAD-7 resin Yttrium recovery

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Characterization of bright betatron radiation generated by direct laser acceleration of electrons in plasma of near critical density

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Matter and Radiation at Extremes 2024年第2期9卷 26-35页

作者： j.Cikhardt M.Gyrdymov S.Zähter p.Tavana M.M.Günther N.Bukharskii N.Borisenko j.jacoby X.F.Shen A.pukhov N.E.Andreev O.N.Rosmej Faculty of Electrical Engineering Czech Technical University in Prague16627 Prague 6Czech Republic Goethe University FrankfurtMax-von-Laue-Straße 160438 Frankfurt am MainGermany GSI Helmholtzzentrum für Schwerionenforschung GmbH Planckstraße 164291 DarmstadtGermany Focused Energy GmbH Im Tiefen See 4564293 DarmstadtGermany National Research Nuclear University MEphI Kashirskoe shosse 31115409 MoscowRussian Federation Lebedev physical Institute RAS Leninskiy Prospekt 53119991 MoscowRussian Federation Heinrich-Heine-University Düsseldorf Universitätsstrasse 1DüsseldorfGermany joint Institute for High Temperatures RASIzhorskaya st.13Bldg.2125412 MoscowRussian Federation Moscow Institute of physics and Technology Institutskiy Pereulok 9141700 DolgoprudnyRussia

Directed x-rays produced in the interaction of sub-picosecond laser pulses of moderate relativistic intensity with plasma of near-critical density are investigated. Synchrotron-like (betatron) radiation occurs in the process of direct laser acceleration (DLA) of electrons in a relativisticlaser channel when the electrons undergo transverse betatron oscillations in self-generated quasi-static electric and magnetic fields. In anexperiment at the pHELIX laser system, high-current directed beams of DLA electrons with a mean energy ten times higher than the ponderomotive potential and maximum energy up to 100 MeV were measured at 10^(19) W/cm^(2)laser intensity. The spectrum of directed x-raysin the range of 5–60 keV was evaluated using two sets of Ross filters placed at 0°and 10°to the laser pulse propagation axis. The differential x-ray absorption method allowed for absolute measurements of the angular-dependent photon fluence. We report 10^(13) photons/sr withenergies >5 keV measured at 0°to the laser axis and a brilliance of 10^(21) photons s^(−1) mm^(−2) mrad−2(0.1%BW)−1. The angular distributionof the emission has an FWHM of 14°–16°. Thanks to the ultra-high photon fluence, point-like radiation source, and ultra-short emissiontime, DLA-based keV backlighters are promising for various applications in high-energy-density research with kilojoule petawatt-class laserfacilities.

关键词： laser acceleration critical

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Modelling dynamic pantograph loads with combined numerical analysis

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Railway Engineering Science 2024年第1期32卷 81-94页

作者： F.F.jackson R.Mishra j.M.Rebelo j.Santos p.Antunes j.pombo H.Magalhaes L.Wills M.Askill School of Computing and Engineering University of HuddersfieldHuddersfieldUK School of Computing and Engineering Institute of Railway ResearchUniversity of HuddersfieldHuddersfieldUK IDMEC Instituto Superior TecnicoUniversidade de LisboaLisbonPortugal ISEL Instituto Politecnico de LisboaLisbonPortugal Hitachi Rail Newton AycliffeUK Wabtec/Brecknell Willis ChardUK

Appropriate interaction between pantograph and catenary is imperative for smooth operation of electric *** heights of overhead lines to accommodate level crossings,overbridges,and tunnels pose significant challenges in maintaining consistent current collection performance as the pantograph aerodynamic profile,and thus aerodynamic load changes significantly with operational *** research aims to analyse the global flow characteristics and aerodynamic forces acting on individual components of an HSX pantograph operating in different configurations and orientations,such that the results can be combined with multibody simulations to obtain accurate dynamic insight into contact ***,computational fluid dynamics simulations are used to investigate the pantograph component loads in a representative setting,such as that of the recessed cavity on a Class 800 *** an aerodynamic perspective,this study indicates that the total drag force acting on non-fixed components of the pantograph is larger for the knuckle-leading orientation rather than the knuckle-trailing,although the difference between the two is found to reduce with increasing pantograph *** the aerodynamic loads acting on individual components with multibody tools allows for realistic dynamic insight into the pantograph *** results obtained show how considering aerodynamic forces enhance the realism of the models,leading to behaviour of the pantograph-catenary contact forces closely matching that seen in experimental tests.

关键词： pantograph-catenary interaction pantograph aerodynamics Computational fluid dynamics pantograph loads Current collection performance

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Efficiency and effectiveness of systems for the treatment of domestic wastewater based on subsurface flow constructed wetlands in jarabacoa, Dominican Republic

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Water Science and Engineering 2024年第2期17卷 118-128页

作者： Yvelisse pérez Enmanuel Vargas Daniel Garcia-Cortes William Hernandez Humberto Checo Ulises jauregui-Haza Area de Ciencias Basicas y Ambientales Instituto Tecnologico de Santo Domingo(INTEC)Avenida de Los Proceres 49Los Jardines del NorteSanto Domingo 10602Dominican Republic Ministry of Environment and Natural Resources Calle Cayetano Germosen esq.Ave.LuperonEl PedregalSanto Domingo 11107Dominican Republic plan Yaque Calle Estela Geraldino 14 AltosJarabacoa 41000Dominican Republic Institute of Technologies and Applied Sciences University of HavanaHavana 10400Cuba

Constructed wetlands(CwW)are well known nature-based systems for water *** study evaluated the efficiency and effectiveness of seven domestic wastewater treatment systems based on horizontal flow CWs in jarabacoa,the Dominican *** results showed that the CWs were efficient in reducing the degree of contamination of wastewater to levels below the Dominican wastewater discharge standards for parameters such as the 5-day biochemical oxygen demand(BOD5)and chemical oxygen demand,but not for the removal of phosphorus and fecal *** addition,a horizontal flow subsurface wetland in the peri-urban area El Dorado was evaluated in terms of the performance of wastewater treatment in tropical climatic *** concentrations of heavy metals,such as zinc,copper,chromium,and iron,were found to decrease in the effluent of the wetland,and the concentrations for nickel and manganese tended to *** levels of heavy metals in the effluent were lower than the limit values of the Dominican wastewater discharge *** construction cost of these facilities was around 200 USD per population equivalent,similar to the cost in other countries in the same *** study suggested some solutions to the improved performance of CWs:selection of a microbial flora that guarantees the reduction of nitrates and nitrites to molecular nitrogen,use of endemic plants that bioaccumulate heavy metals,combination of constructed wetlands with filtration on activated carbon,and inclusion of water purification processes that allow to evaluate the reuse of treated water.

关键词： Domestic wastewater Constructed wetland BOD COD pathogens Heavy metals

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中国音乐研究的新方向：多学科性、中间性与参与性

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黄钟(武汉音乐学院学报) 2024年第2期 14-19+167页

作者：施祥生喻辉爱尔兰国立科克大学云南大学

文章探讨了当代中国音乐研究的前景，并提出一种作为研究者们的交会点的中国音乐研究视角，这些研究者代表的位置和观点本质上是“中间的”（介于不同学科之间；介于研究顾问和读者之间；调解历史、文化或语言的鸿沟等），有时甚至是多... 详细信息

文章探讨了当代中国音乐研究的前景，并提出一种作为研究者们的交会点的中国音乐研究视角，这些研究者代表的位置和观点本质上是“中间的”（介于不同学科之间；介于研究顾问和读者之间；调解历史、文化或语言的鸿沟等），有时甚至是多重的。这意味着研究者面对着的是一种明确的“凌乱”现实，研究者们需要通过合作、跨领域阅读、翻译和咨询，积极构建桥梁，并不断地从更多的个体探究向共享焦点转变，然后再回到个体探索。文章还概述了一些为了加强研究者们的“中间性”所可能采取的具体步骤措施。

关键词：中国音乐研究多学科性中间性参与性核心

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基于U-Net变体的医学图像分割算法综述

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计算机工程与应用 2024年第11期60卷 32-49页

作者：崔珂田启川廉露北京建筑大学电气与信息工程学院北京100044

U-Net简单高效的网络结构,被广泛应用于医学图像分割任务中,学者们针对U-Net结构进行了很多的研究和改进。基于U-Net网络结构的改进方法从以下方面进行归纳总结:总结了U-Net网络在医学图像分割领域的关键挑战;归纳了常用于U-Net网络的... 详细信息

U-Net简单高效的网络结构,被广泛应用于医学图像分割任务中,学者们针对U-Net结构进行了很多的研究和改进。基于U-Net网络结构的改进方法从以下方面进行归纳总结:总结了U-Net网络在医学图像分割领域的关键挑战;归纳了常用于U-Net网络的医学图像数据集格式及特点;重点总结U-Net和U-Net变体算法六大改进机制:跳跃连接机制、生成对抗网络、残差连接机制、3D-UNet、Transformer机制、密集连接机制。最后,探讨六大改进机制与常用医学数据之间的关系,并指出未来改进思路和方向,激发U-Net在医学图像分割的无限潜力。

关键词： U-Net变体医学图像分割语义分割深度学习改进机制

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Storing Freshwater Versus Storing Electricity in power Systems with High Freshwater Electric Demand

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journal of Modern power Systems and Clean Energy 2024年第2期12卷 323-333页

作者： Mubarak j.Al-Mubarak Antonio j.Conejo Department of Electrical and Computer Engineering The Ohio State UniversityColumbusOHUSA Department of Electrical Engineering Kuwait UniversityP.O.Box 5969Safat 13060Kuwait Department of Integrated Systems Engineering and the Department of Electrical and Computer Engineering The Ohio State UniversityColumbusOH 43210USA IEEE

We consider a power system whose electric demand pertaining to freshwater production is high(high freshwater electric demand),as in the Middle East,and investigate the tradeoff of storing freshwater in tanks versus storing electricity in batteries at the day-ahead operation *** storing freshwater and storing electricity increase the actual electric demand at valley hours and decrease it at peak hours,which is generally beneficial in term of cost and ***,to what extent?We analyze this question considering three power systems with different generation-mix configurations,i.e.,a thermal-dominated mix,a renewable-dominated one,and a fully renewable *** generation-mix configurations are inspired by how power systems may evolve in different countries in the Middle *** production uncertainty is compactly modeled using chance *** draw conclusions on how both storage facilities(freshwater and electricity)complement each other to render an optimal operation of the power system.

关键词： power system operation freshwater production and transportation coordination day-ahead scheduling

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